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 |