| NPI | 1003972043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AK NURU361) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AK 361) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2023-03-07 |