| NPI | 1740822261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA PHCP010438) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: GA CN0014182453) |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |