| NPI | 1720495112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002264) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NV RN89058) |
| 363L00000X Nurse Practitioner (Licence: TN 18893) | |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2023-01-30 |