| NPI | 1336112671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NV RN41145) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV APN000718) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2007-07-08 |