| NPI | 1912270349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704394880) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6802085599) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2022-12-21 |