| NPI | 1942567458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK 143651) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AK 5381) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2025-05-12 |