| NPI | 1881115723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 124160) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 123047) |
| 163W00000X Registered Nurse (Licence: AL 129495) | |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2017-06-30 |