| NPI | 1811276678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN216140) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: GA LPN062332) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |