| NPI | 1962951921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NV APRN002257) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner School (Licence: NV APRN 002257) |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2020-08-03 |