| NPI | 1326292624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN810596) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA Sp009903) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2019-03-14 |