| NPI | 1255680518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OR 201604813RN) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OR 201130236LPN) |
| Enumeration Date | 2012-09-02 |
| Last Update Date | 2019-06-03 |