| NPI | 1477692838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AK 357) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 16309) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2011-11-30 |