| NPI | 1487445177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 831394) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV 831394) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NV 831394) | |
| Enumeration Date | 2025-05-14 |
| Last Update Date | 2025-06-23 |