| NPI | 1679355481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN315221) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 760171) |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2023-10-17 |