| NPI | 1578387072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 881697) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN94822) |
| 163W00000X Registered Nurse (Licence: CA 95050187) | |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-12 |