| NPI | 1184757049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse Community Health (Licence: GA RN0660447) |
| Additional Taxonomies | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: GA RN060447) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |