| NPI | 1063550572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OR 091007240RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 091007240RN) |
| 171100000X Acupuncturist (Licence: OR AC00257) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2015-04-20 |