| NPI | 1457721722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 837055) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: OK 92231) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: NV Temp837055) | |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2021-10-14 |