NPI | 1093247454 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 002552) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 002552) |
Enumeration Date | 2017-04-03 |
Last Update Date | 2017-07-25 |