| NPI | 1164257150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 812829) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 1043166) |
| 163W00000X Registered Nurse (Licence: NV 812829) | |
| Enumeration Date | 2024-09-07 |
| Last Update Date | 2026-07-30 |