| NPI | 1033273412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 826561) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: HI APRN 775) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2023-01-06 |