| NPI | 1750810693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN234599) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 422210-1) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2019-11-23 |