| NPI | 1972979375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: GA RN207514) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: GA RN207514) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |