| NPI | 1245522093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK 34099) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AK 6475) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2013-02-19 |