| NPI | 1902537509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MI 4703059274) |
| Additional Taxonomies | 364SC1501X Clinical Nurse Specialist, Community Health/Public Health (Licence: MI 4703059274) |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2022-06-23 |