| NPI | 1225582729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AK NURP7165) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OK 39943) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2022-07-19 |