| NPI | 1700171030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 1231) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 32921) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2012-07-06 |