| NPI | 1649806050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 829693) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014209) |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2023-01-06 |