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 |