| 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 |