NPI | 1700067303 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APRN000638) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APN000638) |
Enumeration Date | 2007-11-25 |
Last Update Date | 2020-08-18 |