| NPI | 1316468762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APRN002663) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN236296) |
| 363L00000X Nurse Practitioner (Licence: NV TAPRN701656) | |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2022-07-21 |