NPI | 1568226405 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 837440) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV F01241062) |
Enumeration Date | 2024-02-12 |
Last Update Date | 2024-02-20 |