| NPI | 1558515825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704172021) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28080663A) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2008-11-12 |