| NPI | 1205268463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 200861) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: AK 29839) |
| 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: AK 29839) | |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2022-12-01 |