| NPI | 1992336333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 862423) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95024490) |
| 363L00000X Nurse Practitioner (Licence: WA AP61002883) | |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2024-11-08 |