| NPI | 1750451654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NV 5398) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NV APN0046) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-08 |