NPI | 1952753626 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV aprn002246) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV APRN002246) |
Enumeration Date | 2016-07-06 |
Last Update Date | 2021-03-25 |