| NPI | 1366113656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 847006) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 2021085264) |
| Enumeration Date | 2021-09-26 |
| Last Update Date | 2023-04-05 |