| NPI | 1215690623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 186381) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK NURR37093) |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2022-06-08 |