| NPI | 1790378446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV 847775) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: NV RN63130) |
| Enumeration Date | 2021-02-13 |
| Last Update Date | 2022-04-10 |