| 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, Psych/Mental Health (Licence: MI 4704131505) | |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2014-11-14 |