| NPI | 1063754471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 001511) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 700861) |
| Enumeration Date | 2013-03-23 |
| Last Update Date | 2023-04-13 |