| NPI | 1841969979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 843652) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV F07210459) |
| Enumeration Date | 2021-09-11 |
| Last Update Date | 2023-10-18 |