| NPI | 1396471678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 855609) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95036312) |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2025-08-27 |