| NPI | 1538616974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 814845) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 9002170-4405) |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 9002170-8900) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2022-09-20 |