| NPI | 1811371255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK 145484) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AK NURP7187) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2019-06-24 |