| NPI | 1639326143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 852688) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 128550-030) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2022-06-05 |