| NPI | 1497933329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AK 149102) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 147545) |
| 163W00000X Registered Nurse (Licence: OR 092006227RN) | |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2023-12-11 |