| NPI | 1821233909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN237466) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN 310411) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2016-04-18 |