| NPI | 1639984693 |
|---|---|
| Former Name | DESTINY SHURI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 3747P1801X Technician Personal Care Attendant (Licence: MD MD-10275774272) |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-04-23 |