| NPI | 1891823290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 447) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 17639) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2009-10-20 |