| NPI | 1538991120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 405300000X Prevention Professional (Licence: OK L0071653) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: OK L0071653) |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-08-14 |