| NPI | 1215419239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AK 239053) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK NURR26833) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2025-08-11 |