| NPI | 1184257818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 827657) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID TEMP63583) |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |