| NPI | 1679138507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MI 4703098161) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| 2470A2800X Technician, Health Information, Assistant Record Technician | |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-05-06 |