| 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 |