NPI | 1114551603 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 239740) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 239740) |
Enumeration Date | 2020-02-24 |
Last Update Date | 2023-03-28 |