| NPI | 1275761264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV 001115) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN61744) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: NV 001115) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: NV 001115) | |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2009-06-29 |