| NPI | 1710663497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 881945) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 719960) |
| 163W00000X Registered Nurse (Licence: NV RN35004) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95022628) | |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2024-09-02 |