| NPI | 1790012805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: NV APRN 0213) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: NV RN11709) |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2018-08-20 |