NPI | 1013520279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 833524) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NV RN73486) |
363LF0000X Nurse Practitioner, Family (Licence: WA AP61112917) | |
Enumeration Date | 2020-08-27 |
Last Update Date | 2023-05-26 |