| NPI | 1982446928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AK 225625) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 117543) |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2024-08-26 |