| NPI | 1902753536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704334299) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: MI 4704334299) |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: MI 4704334299) | |
| Enumeration Date | 2026-03-12 |
| Last Update Date | 2026-03-12 |