| NPI | 1932626082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 892224) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: PA RN597196) |
| 363L00000X Nurse Practitioner (Licence: PA SP018527) | |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2026-02-09 |