| NPI | 1386122976 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: GA RN287577)  | 
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: GA LPN091558)  | 
| Enumeration Date | 2018-08-06 | 
| Last Update Date | 2020-10-06 |