| NPI | 1740863349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 836824) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV TEMP836824) |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2021-07-27 |