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 |