| NPI | 1124405964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704164781) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801093695) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |