| NPI | 1891339594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 209590) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK NURR38758) |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2024-02-07 |