NPI | 1952653123 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV APN001438) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV RN53559) |
363LP2300X Nurse Practitioner, Primary Care (Licence: NV APN001438) | |
Enumeration Date | 2012-10-11 |
Last Update Date | 2024-10-30 |