| NPI | 1942942644 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: OR 201707573RN) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201707573RN) | 
| Enumeration Date | 2022-04-12 | 
| Last Update Date | 2023-05-10 |