| NPI | 1053442509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704247949) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: MI 422096) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-03-24 |