| NPI | 1154489862 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: MI 200638791)  | 
| Additional Taxonomies | 104100000X Social Worker | 
| 225100000X Physical Therapist (Licence: MI 200638791)  | |
| 225X00000X Occupational Therapist (Licence: MI 200638791)  | |
| 235Z00000X Speech-Language Pathologist, | |
| 374U00000X Home Health Aide (Licence: MI 200638791)  | |
| Enumeration Date | 2006-12-05 | 
| Last Update Date | 2023-04-17 |