NPI | 1013313204 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC0400X Registered Nurse Case Management (Licence: MI 4704131505) |
Additional Taxonomies | 163WA2000X Registered Nurse Administrator (Licence: MI 4704131505) |
163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: MI 4704131505) | |
Enumeration Date | 2014-11-14 |
Last Update Date | 2014-11-14 |