| NPI | 1730722745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253J00000X Foster Care Agency (Licence: MN 1099897) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MN 2441890) |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2022-04-12 |