| NPI | 1639910961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV 832526) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV 832526) |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2025-05-20 |