NPI | 1780178996 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 873918) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95008970) |
363LF0000X Nurse Practitioner, Family (Licence: CA 95008970) | |
163W00000X Registered Nurse (Licence: CA 95030298) | |
Enumeration Date | 2018-06-20 |
Last Update Date | 2024-04-17 |