| NPI | 1023268844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN154648) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-108353) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-09-29 |