NPI | 1184173288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002195) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV Aprn002195) |
Enumeration Date | 2016-09-29 |
Last Update Date | 2020-12-22 |