| NPI | 1730413865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AK 1332) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 28778) |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 1332) | |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2021-11-02 |