NPI | 1336558303 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK 112573) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AK 7099) |
Enumeration Date | 2014-08-04 |
Last Update Date | 2018-12-21 |