| NPI | 1861225666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2025027141) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: AK 140862) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AK 231027) | |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2025-11-04 |