| NPI | 1326744509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 895119) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 290996) |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2026-05-22 |