| NPI | 1275215725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 860652) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NV RN99484) |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: NV RN99484) | |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-11-20 |