NPI | 1003683723 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 227957) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 227957) |
Enumeration Date | 2023-12-04 |
Last Update Date | 2025-09-19 |