NPI | 1275086126 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002359) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NV RN64130) |
Enumeration Date | 2016-07-27 |
Last Update Date | 2021-07-28 |