| NPI | 1649007162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 10029406) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OR 201401006LPN) |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-09-18 |