| NPI | 1407587751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: MI MI000009996) |
| Additional Taxonomies | 251E00000X Home Health (Licence: MI MI00000999) |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2022-06-17 |