| NPI | 1760799274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: NV APN001214) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APN001214) |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2012-04-18 |