| NPI | 1700190055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APRN001234) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV TAPN700604) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2015-08-04 |