| NPI | 1306186259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001611) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 22234) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2020-07-06 |