NPI | 1851834824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704397418) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703116076) |
Enumeration Date | 2016-11-23 |
Last Update Date | 2023-07-31 |