| NPI | 1578964201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: GA LPN027366) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: GA 1578964201) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2024-03-21 |