| NPI | 1851585855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002759) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 819440) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209-005932) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209-005932) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 819440) | |
| Enumeration Date | 2007-09-01 |
| Last Update Date | 2022-10-20 |