| NPI | 1265998736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV 818433) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 818433) |
| 363LC1500X Nurse Practitioner, Community Health (Licence: NV 818433) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 265515) | |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2022-08-10 |