| NPI | 1215596572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704270610) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |