| NPI | 1912662081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APRN848060) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV 40921) |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2022-06-08 |