| NPI | 1407230931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV 813544) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1582A) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2024-02-22 |