| NPI | 1346690260 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN257907)  | 
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: GA RN257907)  | 
| 163WH0200X Registered Nurse, Home Health (Licence: GA RN257907)  | |
| Enumeration Date | 2016-06-21 | 
| Last Update Date | 2016-06-21 |