| NPI | 1386114908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 138781) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 124483) |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2026-06-15 |