| NPI | 1588910830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11020157) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV APN001410) |
| 363L00000X Nurse Practitioner (Licence: NV APRN001410) | |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2022-07-29 |