| NPI | 1215326871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: GA LPN050212) |
| Additional Taxonomies | 172A00000X Driver (Licence: GA 055768176) |
| 372600000X Adult Companion | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-21 |