| NPI | 1659582260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001720) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 45900) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2014-06-04 |