| NPI | 1053896118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 2025033869) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 748564) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2025-06-15 |