| NPI | 1164183208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: OR 202001787RN) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OR 202001787RN) |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2021-12-30 |