| NPI | 1457015760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 848058) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV RN93574) |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2022-11-11 |