| NPI | 1326734096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 837640) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 9798292-4405) |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2024-01-22 |