| NPI | 1881277127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MI 4703131098) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2025-01-03 |