| NPI | 1942861778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AK 146735) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK RN22620) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |