| NPI | 1053819755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV APRN002763) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NV APRN00002763) |
| Enumeration Date | 2018-01-28 |
| Last Update Date | 2023-07-05 |