| NPI | 1124171574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN256293) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: GA 056769) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2016-06-27 |