| NPI | 1063805273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 145412) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 37051) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2023-03-14 |