| NPI | 1467229088 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: OR 201704043RN) | 
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: OR 201704043RN) | 
| Enumeration Date | 2023-12-04 | 
| Last Update Date | 2023-12-04 |