| NPI | 1033537568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK NURU1421) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 1421) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2024-03-26 |