| NPI | 1841663408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 839203) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 211186) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2023-12-26 |