NPI | 1114680394 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 265327) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 265327) |
Enumeration Date | 2021-10-14 |
Last Update Date | 2024-08-26 |