NPI | 1912629544 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 858281) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: NV 858281) |
Enumeration Date | 2022-09-12 |
Last Update Date | 2024-03-22 |