| NPI | 1821089376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APN000605) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 513594) |
| 163W00000X Registered Nurse (Licence: NV 26083) | |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2018-05-25 |