NPI | 1730755018 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 838095) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 838095) |
363LF0000X Nurse Practitioner, Family (Licence: HI APRN-4262) | |
Enumeration Date | 2021-05-27 |
Last Update Date | 2025-05-01 |