| NPI | 1598394520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 830213) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV TEMP830213) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2023-08-18 |