| NPI | 1831458579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704218810) |
| Additional Taxonomies | 163WC3500X Registered Nurse Cardiac Rehabilitation (Licence: MI 4704218810) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-05-15 |