| NPI | 1740044627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 874910) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN74360) |
| 163WW0000X Registered Nurse, Wound Care (Licence: NV RN74360) | |
| 363L00000X Nurse Practitioner (Licence: NV 874910) | |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2025-02-17 |