| NPI | 1760840565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 811418) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8437) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2023-04-19 |