| NPI | 1255685392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: OR 200040782RN) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OR 200040782RN) |
| 163WC1500X Registered Nurse, Community Health (Licence: OR 200040782RN) | |
| Enumeration Date | 2012-10-27 |
| Last Update Date | 2012-11-05 |