| NPI | 1104568997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 850287) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 789473) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61339903) | |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2023-04-24 |