NPI | 1629327291 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV APN001412) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV RN29690) |
363LF0000X Nurse Practitioner, Family (Licence: NV APN001412) | |
Enumeration Date | 2012-08-29 |
Last Update Date | 2024-10-31 |