NPI | 1144845330 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 843498) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV F10230533) |
106S00000X Behavior Technician | |
163W00000X Registered Nurse (Licence: NV 843498) | |
Enumeration Date | 2020-06-12 |
Last Update Date | 2025-08-29 |