| NPI | 1669959565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 875500) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NV 875500) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2025-01-27 |