| NPI | 1396858114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK NURU773) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AK 773) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2023-11-08 |