| NPI | 1730551128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: OR 079042371RN) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: OR 079042371RN) |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2015-11-10 |