| NPI | 1831411347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN164573) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN521841L) |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2013-04-08 |