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 |