| NPI | 1962075846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MI 4703121017) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704394762) |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2024-07-10 |