NPI | 1841812278 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 830392) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 830392) |
Enumeration Date | 2020-05-07 |
Last Update Date | 2020-11-13 |