| NPI | 1962396481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AK 244058) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 146031) |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-10-08 |