| NPI | 1740022516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 810620) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 10030222) |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2025-01-21 |