| NPI | 1265549745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APN000818) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 7400693-4405) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2009-08-13 |