| NPI | 1508300922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 117654) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R888969) |
| 163W00000X Registered Nurse (Licence: AK 117672) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 901842) | |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |