| NPI | 1578152922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 833278) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN73806) |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2024-01-25 |