| NPI | 1528830304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 872463) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN88987) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 872463) | |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2024-01-10 |