| NPI | 1720310170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OR 200941831) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OR 200830291) |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2010-02-10 |