| NPI | 1558987115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN247083) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN475113) |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |