| NPI | 1881032605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MI 4704207739) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: MI 4704207739) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-14 |