| NPI | 1043573686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704185649) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704185649) |
| 163WH0200X Registered Nurse, Home Health (Licence: MI 4704185649) | |
| 174H00000X Health Educator (Licence: MI 4704185649) | |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MI 4704185649) | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |