| NPI | 1821363144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001782) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP 21710) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2019-07-12 |