NPI | 1154667913 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AK NURU1346) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 34375) |
Enumeration Date | 2012-12-26 |
Last Update Date | 2024-07-17 |