| NPI | 1689745176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 717) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 9712) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2009-12-16 |