| NPI | 1942622709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN235247) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 219024) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-08-14 |