NPI | 1104399617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 815949) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 815949) |
Enumeration Date | 2019-01-07 |
Last Update Date | 2019-01-07 |