| NPI | 1811471063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: GA LPN095385) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: PA PN304378) |
| Enumeration Date | 2018-09-23 |
| Last Update Date | 2018-09-23 |