| NPI | 1134471402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001774) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP121027) |
| 163W00000X Registered Nurse (Licence: NV RN79803) | |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2016-09-06 |