| NPI | 1437494440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704250841) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: MI 4704250841) |
| Enumeration Date | 2012-12-02 |
| Last Update Date | 2012-12-02 |