| NPI | 1073933644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK 122040) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: AK 14031) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2024-08-19 |