| NPI | 1679308654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: GA RN229209) |
| 163WH0500X Registered Nurse, Hemodialysis (Licence: GA RN229209) | |
| 171M00000X Case Manager/Care Coordinator | |
| 251E00000X Home Health | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2024-09-07 |
| Last Update Date | 2024-09-07 |