| NPI | 1932970662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV 875012) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN50432) |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-05-22 |