| NPI | 1851772651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APRN001984) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 2014564405) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2018-08-07 |