NPI | 1144755935 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP9764) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN120309) |
364SF0001X Clinical Nurse Specialist, Family Health (Licence: AZ AP9764) | |
Enumeration Date | 2017-04-28 |
Last Update Date | 2022-07-21 |