| NPI | 1881075174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: MI 4704197542) |
| Additional Taxonomies | 251E00000X Home Health (Licence: MI 4704197542) |
| 376K00000X Nurse's Aide (Licence: MI 4704197542) | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2015-06-12 |