NPI | 1790426658 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 859816) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NV 79959) |
Enumeration Date | 2022-04-05 |
Last Update Date | 2023-01-30 |