| NPI | 1790783256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APN000829) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN33281) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2021-11-18 |