| NPI | 1740316611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704222157) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802084067) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2018-05-30 |