NPI | 1902357213 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704280549) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 4704280549) |
Enumeration Date | 2016-10-21 |
Last Update Date | 2016-10-21 |