| NPI | 1386398584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 202101960RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 143884) |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-02-07 |