| NPI | 1750884557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA 223989) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN223989) |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2018-03-18 |