| NPI | 1104998707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK NURU521) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 521) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2011-11-21 |