| NPI | 1942741343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: OR 079011108RN) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: OR 079011108RN) |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2021-01-14 |