| NPI | 1619496684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002699) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10499) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2022-10-26 |