| NPI | 1790118644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 116063) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV APRN001564) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001564) | |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2025-09-20 |