| NPI | 1578871943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704243005) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 25643) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2010-09-20 |