NPI | 1811346380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 859959) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV 859959) |
363LP2300X Nurse Practitioner, Primary Care (Licence: NV 859959) | |
101Y00000X Counselor | |
Enumeration Date | 2016-06-06 |
Last Update Date | 2024-12-20 |