| NPI | 1033603261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 146598) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK NURR38107) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2019-07-23 |