| NPI | 1962812420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APRN001714) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV Aprn001714) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2020-12-04 |