| NPI | 1881857472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APRN001062) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 21803) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2023-06-14 |