| NPI | 1336568542 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: MI 4704170827)  | 
| Additional Taxonomies | 163WX0106X Registered Nurse, Occupational Health (Licence: MI 4704170827)  | 
| Enumeration Date | 2014-04-15 | 
| Last Update Date | 2014-04-15 |