| NPI | 1013520279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV 833524) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: NV RN73486) |
| 363LF0000X Nurse Practitioner Family (Licence: WA AP61112917) | |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2023-05-26 |