| NPI | 1790236701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 202101602RN) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2021-06-18 |