| NPI | 1295465797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 197411) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO pending) |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2023-02-03 |