NPI | 1174688170 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 1157) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN111109) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2018-01-05 |