| NPI | 1457934572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 875827) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 215412047866) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2024-02-16 |