NPI | 1629618665 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 827515) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN82006) |
Enumeration Date | 2020-01-07 |
Last Update Date | 2023-03-14 |