| NPI | 1134840986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: GA PHCP010616) |
| 164W00000X Licensed Practical Nurse (Licence: GA PHCP010616) | |
| 208000000X Pediatrics (Licence: GA PHCP010616) | |
| 251J00000X Nursing Care | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2022-09-09 |