| NPI | 1720499296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: MI D8N9M3X2) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: MI 230015341500311) |
| 3747P1801X Technician Personal Care Attendant (Licence: MI G5T2D5K7) | |
| 374U00000X Home Health Aide (Licence: MI Z4B4W6D2) | |
| Enumeration Date | 2014-05-18 |
| Last Update Date | 2014-05-18 |