| NPI | 1548394190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 111598) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: AK 17280) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2016-07-11 |