NPI | 1891190328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001841) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN10021099) |
363LF0000X Nurse Practitioner, Family (Licence: OR 10021099) | |
Enumeration Date | 2014-10-27 |
Last Update Date | 2024-10-14 |