| NPI | 1356988380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OK 210159) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OK 69917) |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2022-09-06 |