NPI | 1639834880 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 846864) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN82559) |
Enumeration Date | 2021-11-03 |
Last Update Date | 2025-02-21 |