| NPI | 1477054849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: GA LPN090419) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5196378) |
| 247000000X Technician, Health Information | |
| 251J00000X Nursing Care | |
| 385H00000X Respite Care | |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2020-05-05 |