| NPI | 1376123265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 821889) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: NV RN821889) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2024-03-22 |