| NPI | 1619625225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 2021118355) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN98064) |
| Enumeration Date | 2022-03-13 |
| Last Update Date | 2024-12-04 |