| 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 |