NPI | 1417365743 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 833204) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN58584) |
Enumeration Date | 2014-07-30 |
Last Update Date | 2022-06-07 |