| NPI | 1245752542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 829183) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 341893) |
| Enumeration Date | 2017-07-09 |
| Last Update Date | 2024-02-20 |