| NPI | 1013661495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 851390) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN86653) |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2022-05-12 |