| NPI | 1033908017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MI 4703126235) |
| Additional Taxonomies | 251J00000X Nursing Care |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2026-08-04 |