| NPI | 1275692816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: GA LPN069862) |
| Additional Taxonomies | 251E00000X Home Health (Licence: GA LPN069862) |
| 251J00000X Nursing Care (Licence: GA LPN069862) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2018-05-22 |