NPI | 1053989962 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: GA RN228251) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: GA RN22820) |
Enumeration Date | 2021-06-16 |
Last Update Date | 2021-06-16 |