| NPI | 1881918183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MN 062108-1) |
| Additional Taxonomies | 372500000X Chore Provider |
| 376J00000X Homemaker (Licence: MN 062108-1) | |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2010-03-16 |