| NPI | 1306388251 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV TAPRN701481)  | 
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV 829048)  | 
| Enumeration Date | 2016-11-09 | 
| Last Update Date | 2023-01-18 |