| NPI | 1639360167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK 239941) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: AK 239941) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2009-01-29 |