| NPI | 1043583891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse Community Health (Licence: OK 108001) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 798335) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2016-10-17 |