| NPI | 1962357210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV 840451) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 805542) |
| Enumeration Date | 2026-03-02 |
| Last Update Date | 2026-03-02 |