NPI | 1336658863 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002709) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN84752) |
363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9346277) | |
Enumeration Date | 2017-09-27 |
Last Update Date | 2023-02-06 |