| NPI | 1023088663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APRN001664) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 552111) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2024-05-01 |