NPI | 1013656834 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 202208091RN) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2022-05-31 |
Last Update Date | 2022-10-13 |