| NPI | 1972191088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: FL 9371188) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MI 4704136355) |
| 163WC1500X Registered Nurse, Community Health (Licence: OH 52264) | |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2021-01-05 |