| NPI | 1528611167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN322036) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: GA LPN085868) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2025-09-16 |