NPI | 1528712585 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN851324) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 2021119206) |
Enumeration Date | 2022-02-09 |
Last Update Date | 2022-08-11 |