NPI | 1538616974 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 814845) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 9002170-4405) |
363LF0000X Nurse Practitioner, Family (Licence: UT 9002170-8900) | |
Enumeration Date | 2016-09-01 |
Last Update Date | 2022-09-20 |