| NPI | 1881158236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 818071) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71009618A) |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2020-09-21 |