| NPI | 1518164466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 312565) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704247053) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-07-08 |