| NPI | 1003140674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: OR 200641963RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200641963RN) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2012-01-23 |