| NPI | 1124225438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401009320) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: MI 4704098219) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2012-09-24 |