| NPI | 1184207581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 840914) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 67349) |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2021-12-10 |