| NPI | 1972128718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-101045) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 141070) |
| 363L00000X Nurse Practitioner (Licence: AK 163286) | |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2024-03-20 |