| NPI | 1801343157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 841731) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015704) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2307216) | |
| Enumeration Date | 2016-09-03 |
| Last Update Date | 2021-09-14 |