| NPI | 1225683709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 150608) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK NURR35960) |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2022-12-29 |