| NPI | 1205437324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN1007194) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1007194) |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |