| NPI | 1659607836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WI 310893-031) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: GA LPN085449) |
| 171M00000X Case Manager/Care Coordinator (Licence: GA LPN085449) | |
| 374U00000X Home Health Aide (Licence: GA LPN085449) | |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2012-10-12 |