NPI | 1407262546 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: OR 201908532rn) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 280506) |
Enumeration Date | 2014-07-09 |
Last Update Date | 2020-12-15 |