| NPI | 1427332378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AK 1411) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 33465) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2015-10-12 |