NPI | 1285067629 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APRN001578) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV RN38554) |
363LF0000X Nurse Practitioner, Family (Licence: NV APRN001578) | |
363LF0000X Nurse Practitioner, Family (Licence: NV RN38554) | |
Enumeration Date | 2013-08-20 |
Last Update Date | 2025-04-29 |