| NPI | 1053951962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 181103) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60868202) |
| 163W00000X Registered Nurse (Licence: AK 176808) | |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2021-09-28 |