| NPI | 1336510429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK NURR19442) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WA RN00084810) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2019-05-26 |