| NPI | 1669735882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AK nur u 1305) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK nur r 25025) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2024-01-03 |