| NPI | 1821325440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN092662) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9200499) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-04 |