NPI | 1184293995 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NV 842825) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NV RN67588) |
363L00000X Nurse Practitioner (Licence: NV 842825) | |
363LF0000X Nurse Practitioner, Family (Licence: NV 842825) | |
Enumeration Date | 2021-06-24 |
Last Update Date | 2025-07-09 |