| NPI | 1174416440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: GA LPN099459) |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2025-06-03 |
| Last Update Date | 2025-06-03 |