NPI | 1609408855 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 822279) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV 822279) |
Enumeration Date | 2020-02-05 |
Last Update Date | 2024-11-20 |