NPI | 1588296156 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NV 841199) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11003626) |
363LF0000X Nurse Practitioner, Family (Licence: NV 841199) | |
Enumeration Date | 2020-02-11 |
Last Update Date | 2024-02-02 |