| NPI | 1942196589 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201391508RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201391508) |
| 163WG0000X Registered Nurse, General Practice (Licence: OR 201391508RN) | |
| Enumeration Date | 2025-06-17 |
| Last Update Date | 2025-06-17 |