| NPI | 1033611793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV 830039) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NM CNP-03499) |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2021-10-03 |