| NPI | 1447823810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OR 200330020LPN) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OR 21-QMHA-R-1339) |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2023-07-31 |