| NPI | 1609153717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK 33509) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AK 5882) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |