NPI | 1447367917 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001055) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 625988) |
163W00000X Registered Nurse (Licence: NV RN58671) | |
Enumeration Date | 2006-08-23 |
Last Update Date | 2021-06-25 |