| NPI | 1215403415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AK 189184) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK NURR33817) |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2022-11-14 |