| NPI | 1316253990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AK 156904) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 26350) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2025-07-15 |