| NPI | 1790023737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK 37513) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AK 6787) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2014-06-26 |