| NPI | 1760780217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AK ak1198) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 1198) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2025-08-11 |