| NPI | 1457869158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: MI 4704258591) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: MI 4704258591) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |