| NPI | 1184108649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AK 179509) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: AK 30449) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2021-08-31 |