| NPI | 1881718450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002929) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A058496) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A 058496) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2022-10-21 |