NPI | 1669870655 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK 110540) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AK 7035) |
Enumeration Date | 2014-12-08 |
Last Update Date | 2020-09-23 |