| NPI | 1740212679 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: GA RN122617) | 
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: GA RN122617) | 
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: FL RN9169659) | |
| 163W00000X Registered Nurse (Licence: GA RN122617) | |
| Enumeration Date | 2006-07-07 | 
| Last Update Date | 2008-07-28 |