| NPI | 1376997890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704231069) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MI 4704231069) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-21 |