| NPI | 1376647909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 77590) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN000865) |
| 163WG0000X Registered Nurse, General Practice (Licence: NV RN25040) | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2024-10-02 |