| NPI | 1790137644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002462) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016881) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 20585) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: SC 223614) | |
| Enumeration Date | 2016-07-04 |
| Last Update Date | 2023-03-03 |