| NPI | 1164257150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 812829) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV 812829) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 1043166) | |
| Enumeration Date | 2024-09-07 |
| Last Update Date | 2026-07-01 |