| NPI | 1871985176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704167693) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN274536L) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |