| NPI | 1760995070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK 144193) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AK NURP6915) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2019-05-21 |