| NPI | 1831602952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0500X Registered Nurse Hemodialysis (Licence: GA RN234354) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: GA RN234354) |
| Enumeration Date | 2017-11-11 |
| Last Update Date | 2017-11-11 |