| NPI | 1275565103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APN000696) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV apn00696) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-08-04 |