| NPI | 1558254615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OK R0040207) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: OK R0040207) |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2025-05-29 |