NPI | 1801503800 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV 827318) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NH 072259-23) |
Enumeration Date | 2022-10-31 |
Last Update Date | 2025-04-25 |