| NPI | 1124472642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704288497) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MI 4704288497) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-21 |