| NPI | 1639297807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AL 1-102781) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN171194) |
| 163WC1500X Registered Nurse, Community Health (Licence: TN RN0000129611) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |