| NPI | 1588086250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202109870NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV APRN001662) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NV APRN001662) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NV APRN001662) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 202109870NP-PP) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NV APRN001662) | |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2023-03-13 |