| NPI | 1093411548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV F01230354) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 2022095067) |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-06-11 |