| NPI | 1992882070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RNO99312) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 3772011) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |