| NPI | 1023419793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: OR 079042362RN) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: OR 079042362RN) |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: OR 079042362RN) | |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-10-02 |