| NPI | 1073987236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APRN002192) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003466) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95003466) | |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2021-12-30 |