| NPI | 1205448479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 832370) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 8500275-4405) |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2021-09-14 |