| NPI | 1194817775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704314040) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802080626) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2015-08-13 |