| NPI | 1063658508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200841048RN) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2022-02-04 |