| NPI | 1972129203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 852902) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 075769-23) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2023-03-02 |