| NPI | 1629670161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: MI 4703100135) |
| 251E00000X Home Health | |
| 374U00000X Home Health Aide | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2020-11-10 |