| NPI | 1205100732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: GA RN208635) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: MD R176216) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |