| NPI | 1982293320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 835172) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95015395) |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-01-18 |