| NPI | 1497233050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0400X Registered Nurse, Rehabilitation (Licence: MI 4704235094) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MI 4704235094) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: MI 4704235094) | |
| Enumeration Date | 2018-08-04 |
| Last Update Date | 2018-08-04 |