| NPI | 1861781122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK 25980) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 4552678-3102) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-04-06 |