| NPI | 1942316005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OK L0012930) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OK E0417039) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2007-07-08 |