| NPI | 1295916286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN054334) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 5435721) |
| 310400000X Assisted Living Facility (Licence: GA RN054334) | |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: GA RN054334) | |
| Enumeration Date | 2007-11-18 |
| Last Update Date | 2007-11-18 |