NPI | 1104705821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NV 860149) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK NURR35292) |
Enumeration Date | 2025-08-27 |
Last Update Date | 2025-08-28 |