| NPI | 1659617538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV APRN001450) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: NV APN001450) |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2018-03-17 |