| NPI | 1487242103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OK L0070081) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2021-01-07 |