| NPI | 1982063947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5015407) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002139) |
| 363L00000X Nurse Practitioner (Licence: NV APRN002139) | |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2022-12-05 |