NPI | 1093047086 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV APRN000853) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APN000853) |
Enumeration Date | 2010-02-02 |
Last Update Date | 2018-08-02 |