| NPI | 1649219361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146D00000X Personal Emergency Response Attendant (Licence: MI 5601001151) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363A00000X Physician Assistant (Licence: MI 5601001151) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2010-05-14 |