| NPI | 1275215154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 870355) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11027784) |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2025-06-12 |