| NPI | 1265007587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN227908) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 813853) |
| 163WH0500X Registered Nurse, Hemodialysis (Licence: GA RN227908) | |
| 163WH0500X Registered Nurse, Hemodialysis (Licence: NY 813853) | |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2021-05-20 |