| NPI | 1508363904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: GA RN130943) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN130943) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-06-18 |