| NPI | 1760890354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APRN001819) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5704) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV TAPRN701047) | |
| Enumeration Date | 2014-07-27 |
| Last Update Date | 2020-06-02 |