NPI | 1144089038 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 243551) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AZ RN243551) |
Enumeration Date | 2024-03-14 |
Last Update Date | 2024-05-13 |