| NPI | 1780939157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002781) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 21892) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2021-01-03 |