| NPI | 1215640867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MI 4703114103) |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| Enumeration Date | 2022-12-28 |
| Last Update Date | 2022-12-28 |