| NPI | 1861644619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002506) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007288) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2025-11-24 |