| NPI | 1083493522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OK R0122054) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OK 319647) |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2024-12-17 |