NPI | 1023475282 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002103) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: NV NV20243245169) |
Enumeration Date | 2016-01-19 |
Last Update Date | 2025-04-21 |