| NPI | 1144860057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 826962) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN52818) |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-06-24 |