| NPI | 1184024705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: GA RN154873) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: GA RN154873) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-09-02 |