| NPI | 1487165619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: OK 37T045020617) |
| 364SL0600X Clinical Nurse Specialist Long-Term Care (Licence: OK 37T045020617) | |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2018-12-05 |