| NPI | 1962385351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704234247) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MI 4704234247) |
| 163WG0600X Registered Nurse, Gerontology (Licence: MI 4704234247) | |
| 163WH0200X Registered Nurse, Home Health (Licence: MI 4704234247) | |
| Enumeration Date | 2025-07-31 |
| Last Update Date | 2025-07-31 |