| NPI | 1659828283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN299183) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: GA lpn089826) |
| 164W00000X Licensed Practical Nurse (Licence: PA pn293099) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2023-03-07 |