| NPI | 1942517859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: WA 140073) |
| Additional Taxonomies | 376J00000X Homemaker |
| 376K00000X Nurse's Aide (Licence: MI 230011417371005) | |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |