| NPI | 1912233198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APN001159) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 19383) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2012-08-13 |