| NPI | 1659887412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APRN-CNP823611) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 823611) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MT NUR-APRN-LIC-128436) | |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2024-01-04 |