NPI | 1003118753 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK 35998) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AK 6532) |
Enumeration Date | 2010-12-01 |
Last Update Date | 2013-08-15 |