| NPI | 1902495641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 838589) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV 838589) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 95174770) | |
| 163WC1500X Registered Nurse, Community Health (Licence: CA 559456) | |
| Enumeration Date | 2021-01-17 |
| Last Update Date | 2026-07-13 |