| NPI | 1609411578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703119526) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 163W00000X Registered Nurse (Licence: OH RN.489193) | |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2025-02-18 |