| NPI | 1043630965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: MI 4704277986) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: MI 4704277986) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2020-05-19 |