| NPI | 1730935743 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201701461RN) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: OR 201701461RN) |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-30 |