| NPI | 1508403767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MI 4703058673) |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| 172V00000X Community Health Worker | |
| 376J00000X Homemaker | |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2020-04-03 |