| NPI | 1740839257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 181676) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AK 181676) |
| 163W00000X Registered Nurse (Licence: AK 33861) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AK 181676) | |
| 163W00000X Registered Nurse (Licence: AK NURR33861) | |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2025-10-10 |