| NPI | 1619677945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 850129) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 5645287-4405) |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2025-02-28 |