| NPI | 1578210977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: MI MI000007302) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: MI 000007302) |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2022-03-04 |