| NPI | 1568201838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 893622) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 1113298) |
| 363L00000X Nurse Practitioner (Licence: WI 17525-33) | |
| Enumeration Date | 2024-05-24 |
| Last Update Date | 2025-10-21 |