| NPI | 1720607237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MI 4703117377) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: MI 4703117377) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |