| NPI | 1639592801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 878116) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN56524) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2024-08-01 |