| NPI | 1902345184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK NURR38315) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 731492) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |