NPI | 1013116110 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ RNP235016) |
Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: AZ RN129776) |
Enumeration Date | 2007-07-17 |
Last Update Date | 2020-01-31 |