| NPI | 1710521034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: OR 201908114) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201908114) |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |