| NPI | 1740256189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 002176) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 538632) |
| Enumeration Date | 2006-02-26 |
| Last Update Date | 2022-08-11 |