| NPI | 1841691870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN141635) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: GA RN141635) |
| 163WA2000X Registered Nurse, Administrator (Licence: GA RN141635) | |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-12 |