NPI | 1083864136 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 303932) |
Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: AZ RN128955) |
Enumeration Date | 2008-09-25 |
Last Update Date | 2024-06-11 |