| NPI | 1225158603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 667) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 19205) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2013-05-28 |