| NPI | 1073640371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704161562) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MI 4704161562) |
| 163WC1500X Registered Nurse, Community Health (Licence: MI 4704161562) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MI 4704161562) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |