| NPI | 1730776865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 839040) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN49608) |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2024-09-10 |