| NPI | 1194159509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: GA 275885) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: GA 275885) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2024-01-23 |