| NPI | 1124836838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 891367) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 29871) |
| 163W00000X Registered Nurse (Licence: SC 269134) | |
| Enumeration Date | 2024-12-27 |
| Last Update Date | 2025-09-11 |