| NPI | 1942835319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704373145) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703121047) |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2021-03-09 |