| NPI | 1003401274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 179102) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11012035) |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2022-09-27 |