| NPI | 1225337397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN230035) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 47404160711) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-22 |