| NPI | 1215641014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN164722) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 837177-01) |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2023-01-06 |