NPI | 1063276970 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 218513) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 218513) |
Enumeration Date | 2024-02-12 |
Last Update Date | 2024-04-22 |