| NPI | 1568004778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704274158) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MI 4704274158) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: MI 4704274158) | |
| 163WC1500X Registered Nurse, Community Health (Licence: MI 4704274158) | |
| 163WH0200X Registered Nurse, Home Health (Licence: MI 4704274158) | |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-09 |