| NPI | 1346093739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: MI R300652271934) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-04-08 |