NPI | 1154098010 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 309785) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AZ RN197408) |
Enumeration Date | 2021-08-26 |
Last Update Date | 2024-11-05 |