| NPI | 1790923829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MI 4704232935) |
| 163WH0200X Registered Nurse, Home Health (Licence: NC 178641) | |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2011-09-23 |