| NPI | 1528352341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001922) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R190658) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 22208) | |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2015-09-03 |