| NPI | 1538600333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 161579) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201701620NP-PP) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2023-11-29 |