| NPI | 1467262188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OK L0060003) |
| Additional Taxonomies | 261QR0800X Clinic/Center, Recovery Care |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-01-14 |