NPI | 1770105629 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 832270) |
Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: NV RN30476) |
Enumeration Date | 2020-05-14 |
Last Update Date | 2020-10-12 |