| NPI | 1538523113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: AK 218935) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: AK 148850) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2024-02-06 |