| NPI | 1740154897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 870794) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV 870794) |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2025-11-23 |