NPI | 1225827819 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV TEMP889022) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 889022) |
Enumeration Date | 2025-05-01 |
Last Update Date | 2025-07-19 |