| NPI | 1659058139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 885140) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024187416) |
| 363L00000X Nurse Practitioner (Licence: VA 0024187416) | |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2025-09-16 |