| NPI | 1841602166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703119950) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2025-02-10 |