NPI | 1700456621 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV 843225) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV RN28704) |
Enumeration Date | 2021-07-01 |
Last Update Date | 2023-08-10 |