| NPI | 1780904177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 78303030) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704128539) |
| 163WG0000X Registered Nurse General Practice (Licence: MI 4704128539) | |
| 163WG0000X Registered Nurse General Practice (Licence: WI 78303030) | |
| 163WH0200X Registered Nurse Home Health (Licence: MI 4704128539) | |
| 163WH0200X Registered Nurse Home Health (Licence: WI 78303030) | |
| 163WP0200X Registered Nurse Pediatrics (Licence: MI 4704128539) | |
| 163WP0200X Registered Nurse Pediatrics (Licence: WI 78303030) | |
| 163WS0200X Registered Nurse School (Licence: MI 4704128539) | |
| 163WS0200X Registered Nurse School (Licence: WI 78303030) | |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2010-06-08 |