| NPI | 1306006002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: GA P05580) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 372600000X Adult Companion | |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2024-12-02 |