NPI | 1093178402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 304670) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201707760NP-PP) |
363LF0000X Nurse Practitioner, Family (Licence: HI APRN 2097) | |
Enumeration Date | 2016-04-02 |
Last Update Date | 2024-06-03 |