NPI | 1629580113 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 845655) |
Additional Taxonomies | 103K00000X Behavior Analyst |
163W00000X Registered Nurse (Licence: NV 845655) | |
3747P1801X Technician, Personal Care Attendant | |
Enumeration Date | 2017-10-24 |
Last Update Date | 2024-10-29 |