| NPI | 1851052484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV 849485) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 849485) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 849485) | |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-01-05 |