NPI | 1528115714 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APN00304) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 37474) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2012-08-10 |