| NPI | 1437433620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK NUR R 28534) |
| Additional Taxonomies | 2472V0600X Technician, Other, Veterinary (Licence: AK VET T 46) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2011-10-17 |