| NPI | 1851807440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704409857) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703114418) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2025-01-24 |