| NPI | 1912352154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APRN002278) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV 16773) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-07-27 |