| NPI | 1770105629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 832270) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: NV RN30476) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-10-12 |