| NPI | 1831792753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 832988) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA NP95014466) |
| Enumeration Date | 2020-11-21 |
| Last Update Date | 2024-11-18 |