| NPI | 1053394866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002392) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV RN89960) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-46038-022) | |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2020-09-21 |