| NPI | 1538696943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002499) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 332154) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2025-12-30 |