| NPI | 1568611846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704157517) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802059768) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |