NPI | 1174973325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002785) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004387) |
Enumeration Date | 2016-06-20 |
Last Update Date | 2024-04-02 |