NPI | 1306388251 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV TAPRN701481) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV 829048) |
Enumeration Date | 2016-11-09 |
Last Update Date | 2023-01-18 |