| NPI | 1831592203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: GA LPN083257) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: GA LPN083247) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2023-12-27 |