| NPI | 1093844136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704121801) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 21114612) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |