| NPI | 1558609461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704305053) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MI 4703103984) |
| 163WC0400X Registered Nurse, Case Management (Licence: MI 4704305053) | |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2015-08-13 |