NPI | 1568717015 |
---|---|
Former Name | TASHA ODD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OR 22-QMHA-R-2980) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60046483) |
163W00000X Registered Nurse (Licence: OR 200940462rn) | |
Enumeration Date | 2012-07-20 |
Last Update Date | 2024-11-18 |