| NPI | 1700421484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV 826764) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: NV 75252) |
| 363LF0000X Nurse Practitioner Family (Licence: NV STUDENT) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: NV 826764) | |
| Enumeration Date | 2019-11-17 |
| Last Update Date | 2020-10-23 |