| NPI | 1649752106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 812492) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95028525) |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2024-01-03 |