NPI | 1154047629 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 288350) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ rn200272) |
Enumeration Date | 2022-10-17 |
Last Update Date | 2024-10-17 |