| NPI | 1336797414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 811883) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 699051) |
| Enumeration Date | 2019-08-31 |
| Last Update Date | 2023-01-10 |