| NPI | 1992080139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK NURU1259) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 12244942-4405) |
| 363LF0000X Nurse Practitioner, Family (Licence: HI 2116) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 22890) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61155657) | |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2023-12-11 |