| NPI | 1912351107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 890024) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 78868) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2025-05-16 |