| NPI | 1588254122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV 836771) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 836771) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NV 836771) | |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2023-09-29 |