| NPI | 1801364724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201804615RN) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: OR 201804615RN) |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-08 |