NPI | 1457605818 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APN001463) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001463) |
Enumeration Date | 2012-11-06 |
Last Update Date | 2024-07-10 |