| NPI | 1407254865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: MI 4704202809) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704202809) |
| 163WM0102X Registered Nurse, Maternal Newborn (Licence: MI 4704202809) | |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-16 |