| NPI | 1407621717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AK 212779) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AK 212779) |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2025-08-20 |