| NPI | 1528172822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801065311) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704138081) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-09 |