| NPI | 1770977407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APRN001911) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ 323867) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2025-05-22 |