| NPI | 1457182370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: NV 881321) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 881321) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NV 881321) | |
| 363LF0000X Nurse Practitioner Family (Licence: NV 881321) | |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |