| NPI | 1912343815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 142818) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: AK 25227) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2020-05-27 |