| NPI | 1730833799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 850879) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV 60981) |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-03-28 |