| NPI | 1710575667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV RN75247) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 836352) |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2021-01-06 |