| NPI | 1649453622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: GA LPN048381) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: GA LPN048381) |
| 376J00000X Homemaker (Licence: GA LPN048381) | |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2007-12-12 |