| NPI | 1972854255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704235556) |
| Additional Taxonomies | 372500000X Chore Provider (Licence: MI 4704235556) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |