| NPI | 1962982728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NV 811584) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV 811584) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NV 811584) | |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-12-11 |