| NPI | 1336659903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV F12240377) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2025-01-05 |