| NPI | 1740851815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 185015) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AK 164844) |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2021-11-29 |