| NPI | 1962144253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 844842) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV 844842) |
| 163W00000X Registered Nurse (Licence: CA 780172) | |
| 363L00000X Nurse Practitioner (Licence: CA 95020460) | |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2024-05-22 |