NPI | 1700421484 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 826764) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NV 75252) |
363LF0000X Nurse Practitioner, Family (Licence: NV student) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: NV 826764) | |
Enumeration Date | 2019-11-17 |
Last Update Date | 2020-10-23 |