NPI | 1679354955 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 018051) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11031435) |
Enumeration Date | 2023-10-11 |
Last Update Date | 2024-08-12 |