| NPI | 1285955567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN191878) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: GA RN191878) |
| 163WN1003X Registered Nurse Nutrition Support (Licence: GA RN191878) | |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2010-06-21 |