| NPI | 1124429568 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: GA RN176133) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: GA RN176133) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |