| NPI | 1780064212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV APRN002015) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002015) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2021-06-23 |