| NPI | 1558830372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 200334) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT nur-aprn-lic-137102) |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2025-06-10 |