| NPI | 1447367917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001055) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 625988) |
| 163W00000X Registered Nurse (Licence: NV RN58671) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2021-06-25 |