| NPI | 1790161164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant (Licence: MN 474731293) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2025-07-13 |