| NPI | 1710311824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN194771) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: GA RN194771) |
| 3747P1801X Technician, Personal Care Attendant (Licence: GA PCH008199) | |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |