| NPI | 1235652835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201705231RN) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OR 201705231RN) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2023-11-07 |