NPI | 1205444510 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 830472) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV 830472) |
Enumeration Date | 2020-07-22 |
Last Update Date | 2020-11-30 |