| NPI | 1962862268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704364530TMP20) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703097979) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2020-07-01 |