| NPI | 1093338212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MI 4703101359) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker (Licence: MI 2024135) | |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2024-11-26 |