NPI | 1407153448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AK NURP6789) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AK 9302) |
Enumeration Date | 2011-02-25 |
Last Update Date | 2019-01-18 |