| NPI | 1124707716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 870858) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA 61446088) |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2024-06-06 |