| NPI | 1659994143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 831819) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NV 831819) |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2021-06-08 |