| NPI | 1265829071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: LA 20192470) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OK L0059076) |
| 172V00000X Community Health Worker | |
| 247000000X Technician, Health Information | |
| 247200000X Technician, Other | |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2019-07-30 |