| NPI | 1912926551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MI 4704224837) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: MI 4704224837) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2014-10-21 |