| NPI | 1295190304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002052) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 225858) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2021-07-20 |