| NPI | 1962550434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704196827) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: MI 4704196827) |
| 163WC1600X Registered Nurse Continuing Education/Staff Development (Licence: MI 4704196827) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |