| NPI | 1316616394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN317592) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: GA LPN097321) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2025-06-30 |