| NPI | 1134595259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 831335) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN92845) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2023-09-13 |