| NPI | 1972017408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: NV APRN002689) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NV APRN002689) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2020-01-22 |