| NPI | 1023864022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 202209976RN) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: OR 202209976RN) |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-05-01 |