| NPI | 1821705732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK 33517) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: AK 33517) |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2022-10-31 |