| NPI | 1891103529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK 102702) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AK 6715) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2015-08-13 |