| NPI | 1659095735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 860498) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV 69268) |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-10-07 |