| NPI | 1871208389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AK 204029) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 24760) |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2023-02-22 |