| NPI | 1841534617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: GA LPN062876) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2021-05-20 |