| NPI | 1790009785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV APN001184) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN23202) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |