| NPI | 1891159943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker (Licence: MN 376J00000X) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: MN 374U00000X) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-20 |