| NPI | 1497144620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 820119) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014555) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2024-05-29 |