| NPI | 1700690229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 860732) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95029931) |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-02-05 |