| NPI | 1295189041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 190359) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: ID N-35394) |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 53511) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2022-10-27 |