| NPI | 1164962049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 26369) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 119311) |
| 163W00000X Registered Nurse (Licence: TN 200546) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 120050) | |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2024-07-15 |