| NPI | 1053664813 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: OR 201242315RN) | 
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: OR 201242315RN) | 
| Enumeration Date | 2012-10-17 | 
| Last Update Date | 2012-10-26 |