| NPI | 1659504256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: MI 4704231494) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704231494) |
| Enumeration Date | 2009-08-29 |
| Last Update Date | 2009-08-29 |