| NPI | 1902331101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA 237341) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 626152) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |