| NPI | 1013482918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704345082) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MI 4704345082) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MI 4704345082) | |
| Enumeration Date | 2018-10-06 |
| Last Update Date | 2021-03-15 |