| NPI | 1750634176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APN001439) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 333682) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2026-01-21 |