| NPI | 1770828899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APRN001456) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5007557) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001456) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5007557) | |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2022-07-21 |