| NPI | 1316376700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: MI 4704061830) |
| Additional Taxonomies | 163WG0600X Registered Nurse Gerontology (Licence: MI 4704061830) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |