| NPI | 1558858928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APRN811899) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NV 811899) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2019-07-30 |