NPI | 1033717814 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 295490) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11007773) |
Enumeration Date | 2020-10-13 |
Last Update Date | 2024-06-05 |