| NPI | 1205103041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK 121877) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AK 6454) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2017-11-28 |