| NPI | 1588248330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 843186) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN79551) |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2021-12-29 |