| NPI | 1609534502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 848923) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV rn74808) |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2022-04-05 |