| NPI | 1528510344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AK 6346) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AK NURP346) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2022-01-09 |