| NPI | 1376186668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV 845055) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV 845055) |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NV 845055) | |
| 163WW0000X Registered Nurse, Wound Care (Licence: NV 845055) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NV 845055) | |
| Enumeration Date | 2019-10-20 |
| Last Update Date | 2025-08-22 |