| NPI | 1316516321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV 844877) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN59552) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2024-10-11 |