| NPI | 1114737921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: ID 39778) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: OR 202100022RN) |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2025-01-13 |