| NPI | 1457533119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV APN001015) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NV APRN001015) |
| 363LF0000X Nurse Practitioner Family (Licence: NV RN37927) | |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2020-05-05 |