| NPI | 1124181722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NV APRN002040) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN85512) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IL 209005795) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2024-03-05 |