| 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 |