| NPI | 1235403775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 840549) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 21646) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 840549) | |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2023-05-08 |