| NPI | 1730494428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704126749) |
| Additional Taxonomies | 163WX1500X Registered Nurse, Ostomy Care (Licence: MI 199934367) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2010-08-18 |