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 |