| NPI | 1801568191 |
|---|---|
| Former Name | LAPRECE MYCA SHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: MI 230014192390608) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: OH 32222191440512) |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2021-10-04 |