| NPI | 1942825872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OK 70361) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |