| NPI | 1376918912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 245168) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 113561) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2025-10-10 |