| NPI | 1518185388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 1223) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: AK 17770) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-06-19 |