| NPI | 1235547928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001871) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN57133) |
| Enumeration Date | 2014-07-26 |
| Last Update Date | 2015-02-04 |