| NPI | 1316174006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV APN001118) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN50068) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2021-02-18 |