NPI | 1750435210 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: OR 201809150RN) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 092018) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2023-01-18 |