| NPI | 1952058364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AK 224795) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 38982) |
| Enumeration Date | 2022-03-05 |
| Last Update Date | 2024-09-14 |