| NPI | 1790931202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-904A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV APRN002171) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 200850102NP) | |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2026-01-06 |