| NPI | 1114058708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK HH2711) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: AK HH2711) |
| 171M00000X Case Manager/Care Coordinator (Licence: AK CMG799) | |
| 372500000X Chore Provider (Licence: AK HC2563) | |
| 3747P1801X Technician, Personal Care Attendant (Licence: AK PCG519A) | |
| 374U00000X Home Health Aide (Licence: AK HH2711) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-09 |