| NPI | 1629390786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV APRN001122) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV APN001122) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2021-01-26 |