NPI | 1619735131 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 876691) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NV RN97732) |
Enumeration Date | 2024-03-11 |
Last Update Date | 2024-08-11 |