| NPI | 1285224220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 174813) |
| Additional Taxonomies | 163WF0300X Registered Nurse, Flight (Licence: AK 38472) |
| Enumeration Date | 2021-01-23 |
| Last Update Date | 2024-02-20 |