| NPI | 1871918482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN235767) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 199219) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |