| NPI | 1952888216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OK R0134475) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OK 65518) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2021-04-23 |