| NPI | 1093284218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 815636) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV F10181775) |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2022-10-20 |