| NPI | 1659450641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV APN000864) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV APN000864) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NV RN33417) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2024-10-30 |