| NPI | 1710223995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002285) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 22620) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2024-12-16 |