| NPI | 1205028974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: GA RN115500) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: GA RN115500) |
| 163WH0200X Registered Nurse, Home Health (Licence: GA RN115500) | |
| 163WX0800X Registered Nurse, Orthopedic (Licence: GA RN115500) | |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-08-15 |