| NPI | 1457692352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: GA lpn63232) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: GA 062322) |
| Enumeration Date | 2013-03-03 |
| Last Update Date | 2024-09-12 |