NPI | 1407487077 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 815950) |
Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: NV RN46729) |
Enumeration Date | 2020-01-31 |
Last Update Date | 2024-08-05 |