| NPI | 1114066982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN RN 140115) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN104468) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2009-07-14 |