NPI | 1013677731 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 268122) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 268122) |
Enumeration Date | 2021-12-21 |
Last Update Date | 2022-01-13 |