| NPI | 1144868522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 824700) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95012758) |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2022-09-13 |