| 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 |