| NPI | 1811155690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV APN001293) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN58940) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2012-09-24 |