| NPI | 1295863033 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MI 4704233474)  | 
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MI 4704233474)  | 
| Enumeration Date | 2007-03-02 | 
| Last Update Date | 2019-12-03 |