| NPI | 1326770405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 195547) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AK NURR38795) |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2024-05-20 |