NPI | 1033732763 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 162977) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 168406) |
163WM0705X Registered Nurse, Medical-Surgical (Licence: AR R098179) | |
363LF0000X Nurse Practitioner, Family (Licence: AR 212975) | |
Enumeration Date | 2020-05-28 |
Last Update Date | 2021-07-19 |