| NPI | 1891770004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV 810764) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 810764) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2023-06-28 |