| NPI | 1326514274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 10966187-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN50929) |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2018-11-28 |