| NPI | 1780925404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704184078) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MI 4704184078) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MI 4704184078) | |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2013-03-05 |