| NPI | 1851633465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN276212) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 661145-1) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2020-01-06 |