NPI | 1346414257 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704252598) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MI L1104554) |
Enumeration Date | 2008-04-22 |
Last Update Date | 2022-12-06 |