| NPI | 1992246938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 850659) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A004953) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95014793) | |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2023-04-25 |