| NPI | 1114482825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 815634) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN61880) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2021-03-23 |