NPI | 1861225666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 231027) |
Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: AK 140862) |
Enumeration Date | 2024-08-26 |
Last Update Date | 2025-01-07 |