| NPI | 1699101782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704254889) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9322489) |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2013-09-20 |