| NPI | 1942000534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704349479) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 235286) |
| Enumeration Date | 2025-03-14 |
| Last Update Date | 2025-03-14 |