NPI | 1790009785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APN001184) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN23202) |
Enumeration Date | 2010-03-18 |
Last Update Date | 2010-03-18 |