| NPI | 1255903498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV CNP844875) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV F07210863) |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2021-12-22 |