| NPI | 1821513177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 856312) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 856312) |
| 363LF0000X Nurse Practitioner, Family (Licence: UT F07170695) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA Ap60898538) | |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2024-11-20 |