| NPI | 1215595640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 386709) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NV RN71057) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2025-08-20 |