| NPI | 1376824417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: GA RN137895) |
| Additional Taxonomies | 163WH0500X Registered Nurse, Hemodialysis (Licence: GA RN137895) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN137895) | |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2017-05-23 |