| NPI | 1932856838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MI 4703122248) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: GA LPN100066) |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2023-11-30 |