| NPI | 1215239975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001684) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 20148) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2020-05-04 |