NPI | 1497009666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV APRN001448) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000098) |
363LF0000X Nurse Practitioner, Family (Licence: NV APRN001448) | |
Enumeration Date | 2012-11-08 |
Last Update Date | 2023-07-10 |