| NPI | 1154787497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002093) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NV APRN002093) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NV APRN002093) | |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2016-05-05 |