| NPI | 1992373468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 202209580RN) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OR 201900109CNA) |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2022-07-18 |