| 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 |