| NPI | 1881926319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704265399) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9225817) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2010-02-09 |