| NPI | 1861053779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: GA RN227072) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: GA 11D2238251) |
| Enumeration Date | 2019-06-23 |
| Last Update Date | 2022-03-02 |