| NPI | 1790188662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN222435) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9378531) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-10-06 |