| NPI | 1619463288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: MI 4704398305) |
| Additional Taxonomies | 225800000X Recreation Therapist |
| Enumeration Date | 2018-07-07 |
| Last Update Date | 2025-02-13 |