| NPI | 1740567270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OK 108239) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL 666) |
| 376K00000X Nurse's Aide (Licence: FL 227872) | |
| 376K00000X Nurse's Aide (Licence: OK 3320295960711) | |
| Enumeration Date | 2011-11-11 |
| Last Update Date | 2011-11-11 |