NPI | 1558872986 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002705) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 002705) |
Enumeration Date | 2017-10-12 |
Last Update Date | 2024-08-12 |