| NPI | 1760922017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023240) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN76398) |
| 363L00000X Nurse Practitioner (Licence: NV 002777) | |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2023-07-12 |