| NPI | 1871900423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APRN001858) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN70959) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2015-01-13 |