| NPI | 1841705860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 164898) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A005426) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2025-10-30 |