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 |