| NPI | 1225402274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: MI 4704254289) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MI 4704254289) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2015-11-13 |