| NPI | 1194447425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN315644) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 316841) |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2023-02-05 |