NPI | 1093226698 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10710) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ AP10710) |
Enumeration Date | 2017-10-23 |
Last Update Date | 2018-07-10 |