| NPI | 1578036919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 815323) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 815323) |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2022-03-29 |