| NPI | 1144298761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 108041) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA GAA-CRNA001054) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2023-04-19 |