NPI | 1730941972 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OK 220113) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2024-01-24 |
Last Update Date | 2024-10-30 |