NPI | 1114397957 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP7997) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8195) |
Enumeration Date | 2015-10-06 |
Last Update Date | 2020-05-18 |