| NPI | 1689657173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APN00542) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV RN27135) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2007-07-08 |