NPI | 1356588685 |
---|---|
Former Name | SHEILA ROCHELLE MIXON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: MI Certificate) |
Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: MI Certificate) |
Enumeration Date | 2009-01-08 |
Last Update Date | 2009-01-15 |