| NPI | 1801733720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK 201303) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 10051596) |
| Enumeration Date | 2026-04-29 |
| Last Update Date | 2026-04-29 |