| NPI | 1225827819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV TEMP889022) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 889022) |
| Enumeration Date | 2025-05-01 |
| Last Update Date | 2025-07-19 |