| NPI | 1558872986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002705) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 002705) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2024-08-12 |