| NPI | 1659644219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201043224RN) |
| Additional Taxonomies | 2279C0205X Respiratory Therapist, Registered, Critical Care (Licence: OR RT-P-000002) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-13 |